Individual
SHANNON MARCERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12100 CHANCELLORS VILLAGE LN, FREDERICKSBURG, VA 22407-6100
(540) 907-2519
Mailing address
11802 FORBIDDEN FOREST CIR APT 301, FREDERICKSBURG, VA 22407-3319
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001710
VA
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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